Makena® (hydroxyprogesterone caproate)
Authorization forms
Note: Brand Makena (billed with J1729) is not covered for Traditional, Optimized, or Medicaid plans. For these plans, see:
For further information on medical drugs, please see the Injectable drugs page.
Code(s): J1726
Benefit: Medical
Notes:
- Treatment of preterm labor
- Must first try hydroxyprogesterone caproate